在秘鲁的委内瑞拉移民中,移民状况和医疗保健服务的使用情况
Akram Hernández-Vásquez1, Guido Bendezu-Quispe2, Diego Azañedo3
1Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, 550 La Fontana Ave, La Molina, 15024, Peru. ahernandez@usil.edu.pe.
Journal of community health
|August 29, 2023
概括
委内瑞拉移民在秘鲁的非法身份面临医疗保健的障碍. 非法身份与较低的医疗保健使用量有关,特别是在男性中,突出了弱势群体医疗保健的差异.
科学领域:
- 公共卫生 公共卫生
- 移民研究 移民研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 处于非正规境内的移民经常因其法律地位和缺乏保险文件而面临着获得医疗保健的重大障碍.
- 这些障碍可以阻止弱势群体在东道国获得必要的医疗护理.
研究的目的:
- 调查移民身份 (合法与非法) 与委内瑞拉移民在秘鲁的医疗服务利用之间的联系.
- 根据该人口的移民身份,确定医疗保健获取方面的潜在差异.
主要方法:
- 分析了2022年针对居住在秘鲁的委内瑞拉人口 (ENPOVE) 的调查数据.
- 用通用线性模型 (Poisson家族,日志链接) 来计算医疗保健服务使用的原始和调整的流行率 (aPR).
- 该研究检查了由性别分层的关联,以了解性别特异性的差异.
主要成果:
- 在1569名分析的移民中,32.4%的人拥有非法移民身份,58.1%的人没有使用医疗服务.
- 非法移民身份与较低的医疗保健利用率显著相关 (aPR:0.75).
- 这种关联在男性移民中显著 (aPR:0.53),但在女性移民中没有显著 (aPR:0.84).
结论:
- 超过一半的委内瑞拉移民在秘鲁有健康问题没有寻求医疗照顾,这表明有很大的未满足的需求.
- 拥有非法移民身份的个人使用医疗服务的可能性较低,在男性中观察到的效果更为明显.
- 调查结果强调了移民状况对医疗保健获取的影响,并强调了需要针对性干预来解决这些差异的需要.
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